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Weight Loss Surgery Type 2. Lap-Band Surgery

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Weight Loss Surgery Type 2. Lap-Band Surgery

What is the Lap-Band System?                     How the Lap works
Best candidates for Lap-Band surgery         Costs and Prices of Lap-Band surgery
Lap-Band placement                                       How the port works
Recovery and aftercare                                    Possible complications

How the port works
Injecting saline into the port inflates the band, making the passage to the lower part of the stomach smaller, which further restricts food intake. Fluid can easily be removed in the doctor's office if it is too tight.

After Lap-Band Surgery : Recovery and Aftercare

Following surgery, you should be able to return to work within a week, with minimal discomfort. You will need to follow a nutrition plan (which may include vitamin supplements) prescribed by your surgeon and/or nutritionist. The nutrition plan will likely include a liquid diet for a few weeks, until you can tolerate soft foods, and later solid foods. A specific exercise program, as well as behavioral-modification therapy, may also be recommended.

Frequent office visits are mandatory to adjust the band. Your surgeon or his assistant will be able to inject the port in the office. On average, patients require six to eight adjustments of the band during the first 18 months following Lap-Band surgery.

Patients typically lose 50% to 60% of their excess body weight within two years after the procedure. Additional plastic surgery may be indicated, depending on how much weight is lost.

Lap-Band System Complications
As with any surgical procedure, there are known risks. Besides the standard risks of most procedures, including bleeding and infection, there are complications specific to Lap-Band surgery. Slippage of the band can occur as you lose weight and the stomach goes above the band, causing heartburn or vomiting. This can usually be fixed laparoscopically. Rarely, the band may erode into the inside of the stomach.

Laparoscopic surgery is not always possible. Your surgeon may need to use an "open" method. This happened in about 5% of the cases in the U.S. clinical study. Other problems can occur that are directly related to the Lap-Band System:

  • The band can spontaneously deflate because of leakage. That leakage can come from the band, the reservoir, or the tubing that connects them.

  • The stomach pouch can enlarge.

  • The stoma (stomach outlet) can be blocked.

Costs and Prices of Lap-Band Surgery
The cost of Lap-Band surgery varies from about $17,000 to $30,000, depending on where you live. In the past, insurance companies did not cover this procedure, but increasingly they are paying for all or part of it if medical necessity is established by your doctor and if you meet the NIH requirements described above.

Back : What is the Lap-Band System?     How the Lap works     Best candidates for Lap-Band surgery     Lap-Band placement

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